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CT abdomen and pelvis with contrast

CPT 74177 · negotiated-rate distribution across hospitals in HI

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Hospitals
9
Min
$216.98
Median
$481.42
Max
$523.64
Range multiplier
2.4×

By payer (20 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
hmsa415$180.62$490.36$996.65.5×
UnitedHealthcare58$180.62$180.62$481.422.7×
Kaiser Permanente37$80$412.62$2,08826.1×
alohacare36$213.86$412.62$481.422.3×
uha46$81.8$532.83$556.916.8×
ohana25$377.42$412.62$529.561.4×
hma44$628.36$628.36$628.361.0×
hmaa13$393.28$1,201.56$2,157.65.5×
hawaii medical service association (hmsa)13$180.62$490.36$900.935.0×
#12$235.97$433.44$630.92.7×
dmba12$1,033.6$1,444.8$1,8561.8×
Humana22$412.62$447.02$481.421.2×
mdx12$1,253.24$1,751.82$2,250.41.8×
Multiplan12$80$82.5$851.1×
verdegard11$873.93$873.93$873.931.0×
mdx hawaii11$331.14$331.14$331.141.0×
ohana health plan11$220.09$220.09$220.091.0×
hcha11$746.71$746.71$746.711.0×
hawaii medical assurance association (hmaa)11$537.96$537.96$537.961.0×
medical cost containment professionals11$85$85$851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
KAUAI VETERANS MEMORIAL HOSPITALWAIMEA KAUAIHI4$3,350$2,177.5$180.62$523.64$996.6
SAMUEL MAHELONA MEMORIAL HOSPITALKAPAA KAUAIHI4$3,350$2,177.5$180.62$523.64$996.6
KONA COMMUNITY HOSPITALKEALAKEKUAHI8$2,855$1,855.75$180.62$481.42$996.6
KAHUKU MEDICAL CENTERKAHUKUHI12$2,320$1,508$81.8$412.62$2,250.4
WILCOX MEMORIAL HOSPTIALLIHUEHI11$3,484$1,393.6$80$216.98$900.93
NORTH HAWAII COMMUNITY HOSPITALKAMUELAAHI0$3,319$2,323.3
KFH-HAWAIIHONOLULUHI0$8,490$4,754.4
THE QUEENS MEDICAL CENTERHONOLULUHI0$3,750$2,625
MOLOKAI GENERAL HOSPITALKAUNAKAKAIHI0$4,194$2,935.8

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.